Facility Coding Quality Integrity Analyst - Inpatient

Advocate Health•Milwaukee, WI

2d•$36 - $53•Remote

About The Position

The Facility Coding Quality Integrity Analyst researches, interprets, and applies coding, payer, and regulatory requirements to support accurate and compliant professional and hospital coding practices. The role develops and maintains enterprise coding guidance and reference materials, coordinates coding quality audits, tracks findings and compliance risks, analyzes quality data, and prepares reports and materials for leadership and improvement initiatives. The analyst partners with Integrity Operations, coding leadership, clinicians, and education teams; responds to inquiries about coding guidance and audit outcomes; and supports regulatory, compliance, testing, reporting-validation, and workflow projects. The position supports individual coder audits and requires facility or hospital-based inpatient coding experience. The schedule is Monday through Friday, flexible first shift, 40 hours per week. Remote work may be approved for employees in specified registered states.

Requirements

Associate degree or equivalent education and experience.
Required coding credential from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC.
Five years of experience in expert-level professional coding or hospital-based coding, including experience with revenue cycle processes, health information workflows, and medical record auditing.
Facility or hospital-based inpatient coding experience.
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
Advanced knowledge of medical terminology, anatomy, and physiology.
Advanced ability to identify coding quality issues and recommend improvements.
Advanced ability to analyze trends and data and present them in statistical reporting formats.
Advanced verbal and written communication, organization, prioritization, and reading comprehension skills.
Ability to train others effectively through oral and/or written methods.
Advanced analytical skills and high attention to detail.
Advanced knowledge of Microsoft Office, video and web conferencing, email, and electronic coding and EHR systems or applications.
Advanced knowledge of care delivery documentation systems and related medical record documents.
Interpersonal communication skills to collaborate with physicians, other clinicians, coding department colleagues, and leadership.
Ability to work independently and exercise independent judgment and decision-making.
Ability to meet deadlines in a fast-paced environment.
Ability to take initiative and work collaboratively.
Strong sense of ethics.
Experience with remote workforce operations.

Nice To Haves

A second specialty credential.

Responsibilities

Research, interpret, and apply coding, payer, and regulatory requirements to support accurate and compliant professional and hospital coding practices.
Develop, maintain, and update coding guidance, standard work, reference materials, and position statements for enterprise consistency.
Coordinate and support coding quality audits by routing requests, maintaining records, and verifying documentation completeness and accuracy.
Track audit findings, quality issues, and compliance risks; document patterns and support corrective actions.
Analyze coding quality data and audit results to identify trends, risks, and improvement opportunities.
Prepare summaries, reports, and materials for leadership, audit reviews, and quality improvement initiatives.
Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy.
Support regulatory, compliance, and quality-related projects in accordance with organizational policies and AHIMA coding standards.
Respond to internal inquiries about coding guidance, quality findings, and audit outcomes.
Support testing, reporting validation, and workflow updates related to coding quality, guidance, and compliance initiatives.
Support individual coder audits.